Dr. Chen Jiaming reply Surgery Question - Page 15

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Understanding Lateral Thigh Mass: Causes, Symptoms, and Treatment Options

Lateral thigh mass I have been running almost every day, and about one or two weeks ago, I thought I was experiencing soreness in my quadriceps, with pain in that area. I continued using a foam roller, applying heat, and doing manual massage, thinking it would improve in a few da...


Dr. Chen Jiaming reply Surgery
Your condition requires an in-person visit for a thorough examination by a physician to reach a diagnosis. Based on your description, I recommend that you first consult an orthopedic specialist for evaluation.

[Read More] Understanding Lateral Thigh Mass: Causes, Symptoms, and Treatment Options


Is It Hemorrhoids? Understanding Symptoms and Solutions

Is it hemorrhoids? Hello doctor, I don't drink water often, but I love eating vegetables, so I usually have a bowel movement every 3 to 4 days. Sometimes I am unsure if the difficulty is due to excessive straining or hard stools. I notice blood streaks when wiping, and somet...


Dr. Chen Jiaming reply Surgery
A medical diagnosis cannot be made without a personal examination. Based solely on your description, it is possible that you are experiencing early-stage hemorrhoids or localized congestion due to chronic constipation. It is advisable to start by modifying your diet and bowel hab...

[Read More] Is It Hemorrhoids? Understanding Symptoms and Solutions


Managing Wound Care for Inguinal Skin Issues: A Guide

Wound issues Dear Dr. Chen, I apologize for bothering you. My father has developed a small sore on his scrotum after squeezing a pimple (originally about 0.2 cm). Initially, he did not cover it and only used ointment and tetracycline, which led to a worsening infection with yell...


Dr. Chen Jiaming reply Surgery
Wound care cannot be managed with a single guideline; each stage requires appropriate treatment methods. It is recommended to consult a urologist or a general surgeon. Some hospitals also have specialized outpatient clinics dedicated to wound care. The skin of the scrotum is very...

[Read More] Managing Wound Care for Inguinal Skin Issues: A Guide


Managing Wound Care: Addressing Dead Skin and Infection Issues

Issues with necrotic tissue and infection in wounds? Hello Dr. Chen, I apologize for the inconvenience, but I would like to ask about my father's condition. He initially had a pimple on his scrotum that turned into a small wound (about 0.2 cm) after being squeezed. At first...


Dr. Chen Jiaming reply Surgery
Wound care cannot be managed with a one-size-fits-all approach; each stage of healing requires specific treatment methods. It is advisable to consult a urologist or a general surgeon, and some hospitals have specialized outpatient clinics dedicated to wound care. The skin of the ...

[Read More] Managing Wound Care: Addressing Dead Skin and Infection Issues


Understanding Unidentified Bumps on Nipples: A Teen's Concern

There is an unknown object on the nipple, and I would like to seek clarification? I am 17 years old and have had a grayish-brown, dirty, hard substance that feels like crusted discharge stuck to my nipple for about two to three years. In the past, I could pull it off (it was a li...


Dr. Chen Jiaming reply Surgery
You are overly anxious about this issue. The nipple is naturally the convergence point of the breast's milk ducts (the secretion site for breast milk). During puberty, it is normal for there to be a small amount of discharge due to the development of the mammary glands (caus...

[Read More] Understanding Unidentified Bumps on Nipples: A Teen's Concern


Understanding Blood in Stool: Causes and When to Seek Help

Rectal bleeding Doctor, today when I had a bowel movement, the process was smooth without any straining or pain. However, after wiping with toilet paper, I noticed a bit of redness on the tissue. What could this be due to?


Dr. Chen Jiaming reply Surgery
Based on your overly simplistic description, there are too many possible factors and diagnoses to make any assumptions. I sincerely apologize.

[Read More] Understanding Blood in Stool: Causes and When to Seek Help


Understanding Lower Abdominal Pain and Bowel Issues in Teens

Lower abdominal pain and bowel issues? Hello, Doctor. I have a few questions. I recently finished my menstrual period, and I sometimes feel pain in my lower abdomen, on both the left and right sides. Last night, when I went to the bathroom, my stool was a bit hard, and I noticed ...


Dr. Chen Jiaming reply Surgery
Lower abdominal pain right after your menstrual period is often related to the menstrual cycle. If you notice something that looks like fiber in your stool, it is indeed fiber; the human digestive system does not absorb fiber. As for occasional red streaks without accompanying sy...

[Read More] Understanding Lower Abdominal Pain and Bowel Issues in Teens


Understanding Hemorrhoids: Symptoms, Treatment, and Prevention Tips

Internal or external hemorrhoid issues? Hello, for the past month, I have been experiencing a feeling of swelling and a foreign body sensation in the anal area (no pain or bleeding). There is a small soft lump at the anal opening that seems to shrink to almost nothing upon waking...


Dr. Chen Jiaming reply Surgery
First, it is not possible to definitively diagnose any condition based solely on your description without a physical examination. Pressing to reduce swelling after urination is merely a symptomatic treatment and does not actually help improve any underlying pathology. The occurre...

[Read More] Understanding Hemorrhoids: Symptoms, Treatment, and Prevention Tips


Is This Anal Fissure? Understanding Symptoms and When to Seek Help

Could this be an anal fissure? I occasionally noticed blood on the toilet paper when wiping after using the restroom, and there was some pain on the outer skin of the anus with a small amount of blood at specific points. Two days ago, I experienced abdominal pain that felt somewh...


Dr. Chen Jiaming reply Surgery
It is not possible to diagnose an anal fissure solely based on the presence of blood during anal wiping; a clinical examination by a physician is necessary. Additionally, the severity of anal fissures can vary, and there are differences between acute and chronic cases, which affe...

[Read More] Is This Anal Fissure? Understanding Symptoms and When to Seek Help


Is It Anal Fissure? Understanding Symptoms and Concerns

Is it an anal fissure? Recently, I have been experiencing pain in my anus during bowel movements, and there is blood on the toilet paper, although it is not dripping as described online, just a small amount. However, the pain in my anus is quite real. Could this be anal fissure? ...


Dr. Chen Jiaming reply Surgery
First of all, the information you provided is insufficient to simply speculate whether the bleeding from the anus is caused by a fissure or other lesions. Generally speaking, acute anal fissures are commonly seen in patients who experience difficulty with bowel movements and spen...

[Read More] Is It Anal Fissure? Understanding Symptoms and Concerns


Understanding Axillary Lumps: When to Seek Further Medical Advice

Axillary lump Hello doctor, two years ago during a health check-up, I was found to have multiple fibrocystic lesions in both sides of my chest. Since I was preparing to study abroad, I had one of the larger lesions surgically removed. About a year and a half ago, I noticed a smal...


Dr. Chen Jiaming reply Surgery
In general, fibrocysts and fibroadenomas are common benign lesions found in young women. Fibrocysts are often associated with breast tenderness before menstruation and are significantly influenced by hormonal changes, causing fluctuations in size. Fibroadenomas are solid masses t...

[Read More] Understanding Axillary Lumps: When to Seek Further Medical Advice


Understanding Blood in Stool: Causes and Concerns for Your Health

Rectal bleeding Hello Dr. Chen, recently I have noticed blood around my stool every time I have a bowel movement, but it is not particularly bright red, and there are no blood traces when I wipe. I am very concerned that this might be colon cancer, as I have never experienced thi...


Dr. Chen Jiaming reply Surgery
"There is a pool of blood around the stool, but it is not particularly bright red, and there are no blood traces when wiping." Given this description, it is advisable to consult a gastroenterologist or a colorectal surgeon for an examination. Additionally, the impact of...

[Read More] Understanding Blood in Stool: Causes and Concerns for Your Health


Understanding Blood in Stool: Is It a Sign of Colon Cancer?

Blood in the stool..? Hello Doctor, recently I've been observing my stool when I go to the bathroom. The first few times were normal, but the color was a bit darker (brown). Tonight, I suddenly had the urge to go and passed a very long and hard stool that resembled a banana....


Dr. Chen Jiaming reply Surgery
1. Mucosal injury and bleeding caused by hard stools have a lower association with colorectal cancer. 2. Diet can be related to the color of bowel movements, but it is unclear if this instance is related. 3. Nuts, being high in fats, can help lubricate the intestines, leading...

[Read More] Understanding Blood in Stool: Is It a Sign of Colon Cancer?


Post-Car Accident Pain Without Bruising: What Could It Be?

After the car accident, there are no bruises, but it hurts when pressure is applied? A few days ago, I was in a car accident and only sustained abrasions on my legs, so I did not go to the hospital for an examination. However, since the car slid out with me for about a meter and ...


Dr. Chen Jiaming reply Surgery
The ovaries are located within the pelvic cavity in the lower abdomen and are not easily palpable. Based on your description, there are two possibilities: the first is pain from a simple muscle or fascia strain due to an accident, and the second is swelling of the inguinal lymph ...

[Read More] Post-Car Accident Pain Without Bruising: What Could It Be?


Understanding Breast Lumps: What to Know About Fibroadenomas and Lymph Nodes

Breast lump A small hard lump the size of a peanut was found under my left breast. After undergoing a breast ultrasound, the doctor indicated that it is likely a benign fibroadenoma measuring about 0.6 cm, and that it can be monitored. However, I was still concerned and opted for...


Dr. Chen Jiaming reply Surgery
Since the biopsy has already been done, let's wait for the report before worrying too much. Additionally, self-examination of the armpit is to check for any lymph nodes (lumps) rather than comparing the size of the areas on both sides of the armpit (sometimes it’s just more ...

[Read More] Understanding Breast Lumps: What to Know About Fibroadenomas and Lymph Nodes


Understanding Rectal Bleeding: Causes and When to Seek Help

Rectal bleeding Hello Doctor, I have been experiencing chronic constipation for a long time. About six months ago, I started seeing a doctor who prescribed medication, but I usually only take it if I haven't had a bowel movement for more than three days. I know that constipa...


Dr. Chen Jiaming reply Surgery
Based on age and medical history, the likelihood seems low; however, further examination is still recommended. Additionally, it is advised to regularly use stool softeners, increase fluid intake, and reduce the chances of hard stools, as this would be the fundamental solution.

[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help


Post-Surgery Complications: Managing Weakness After Bowel Surgery

Arterial rupture after intestinal surgery? Hello Doctor: My family member previously underwent surgery for a chocolate cyst, which led to intestinal adhesions. After a long time without improvement, they had another surgery to address the adhesions. However, during the procedure,...


Dr. Chen Jiaming reply Surgery
Based on your description, your family member is a female who previously underwent surgery for the removal of an ovarian chocolate cyst and later had surgery for adhesiolysis, during which there was a significant amount of blood loss. Firstly, the gastrointestinal tract has a ric...

[Read More] Post-Surgery Complications: Managing Weakness After Bowel Surgery


Understanding Pectus Carinatum: When to Seek Medical Advice

Chicken breast, how to handle it? Hello doctor, could you please take a moment to answer my question? My brother is 15 years old, 174 cm tall, and weighs 48 kg. He has pectus carinatum, but it is not very noticeable when he wears clothes and is considered mild. I asked him if he ...


Dr. Chen Jiaming reply Surgery
Since there are concerns, let's take him directly to the Thoracic Surgery outpatient clinic for evaluation and treatment!

[Read More] Understanding Pectus Carinatum: When to Seek Medical Advice


Concerns About a Possible Tumor Under the Left Rib: What to Do?

Suspected tumor at the left costal margin? Hello, doctor. Recently, I noticed a small hard lump under the left rib cage when I inhaled and touched that area. If I don't intentionally touch it while breathing, I can't feel it. It doesn't feel much like muscle, so I ...


Dr. Chen Jiaming reply Surgery
Because it becomes more pronounced with inhalation, this mass is likely to be mobile and is mostly derived from subcutaneous tissue, such as a lipoma. If seeking medical attention, one should consult a general surgeon rather than a gastroenterologist.

[Read More] Concerns About a Possible Tumor Under the Left Rib: What to Do?


Understanding Blood in Stool and Excessive Gas: When to Seek Medical Help

Blood in the stool with excessive flatulence? Hello doctor, about 1 to 2 months ago, I was experiencing excessive gas in the afternoon, but my bowel movements were normal and without blood. However, today I noticed blood in my stool, and I also have some discomfort while urinatin...


Dr. Chen Jiaming reply Surgery
Due to the low correlation of your symptoms and the mixed nature of your current condition, it is advisable for you to visit a gastroenterology clinic for further evaluation and examination.

[Read More] Understanding Blood in Stool and Excessive Gas: When to Seek Medical Help


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